Allen G Smith

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

25041817 Issued in GA

Practice address

3388 In Bloom Way
Auburn, GA 30011-2551

Phone

(917) 995-2718

NPI assigned

Apr 10, 2025

Last updated

Apr 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1023803087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3388 IN BLOOM WAY",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300112551",
            "telephone_number": "917-995-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3388 IN BLOOM WAY",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300112551",
            "telephone_number": "917-995-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALLEN",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "25041817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Danae Pedraza, PHARMD
• Christina Shersteen Resulma
• Jayoung Ryu
• Richard Mark Schlossberg, M.D.
• Ruth M Silva, COTA
• Angelique N Smith
• Estorious Eivadne' Smith, LPC
• Becky Mai Sotillo
• Stone Health Services, LLC
• Johana Stowers

• Non-emergency Medical Transport (VAN) in Auburn, GA
• Providers in Auburn, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.